| NPI | 1710113394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005933-3) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2017-02-20 |